BETHANY DAVIDSON

FORT WAYNE, IN
NPI1568851269
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IN  06004872A)
Enumeration Date2015-01-19
Last Update Date2015-09-08
Business Address
-- BETHANY DAVIDSON PTA
4935 HILLEGAS RD
FORT WAYNE, IN 46818-1934
Phone number: 260-338-1241
Mailing Address
-- BETHANY DAVIDSON PTA
PO BOX 80867
FORT WAYNE, IN 46898-0867
Phone number:
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